COFFEE BOURNE CRNA
NPI 1861939191
Nurse Anesthetist, Certified Registered in Richmond, VA
About Coffee Bourne Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COFFEE BOURNE CRNA (NPI 1861939191) is an individual nurse anesthetist, certified registered in Richmond, Virginia, licensed in Virginia (0024174431) and active in the NPI registry since January 2017. She is affiliated with Cjw Medical Center, maintains 7 additional practice locations, and is a graduate of Virginia Commonwealth University, School Of Medicine (2016).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 7
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Coffee Bourne Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
5Medicare enrollment records show Coffee Bourne reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Richmond, VA 23298
- Reassigned Medicare billing, Virginia enrollment
- 2,481 clinicians in this Medicare group
Richmond, VA 23230
- Reassigned Medicare billing, Virginia enrollment
- 44 clinicians in this Medicare group
Richmond, VA 23230
- Reassigned Medicare billing, Virginia enrollment
- 123 clinicians in this Medicare group
Richmond, VA 23225
- Reassigned Medicare billing, Virginia enrollment
- 167 clinicians in this Medicare group
Falls Church, VA 22042
- Reassigned Medicare billing, Virginia enrollment
- 1,217 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cjw Medical Center
Acute Care Hospitals · Richmond, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 23298 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RICHMOND, VA 23298
RICHMOND, VA 23298
RICHMOND, VA 23298
RICHMOND, VA 23298
RICHMOND, VA 23298
RICHMOND, VA 23298
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Coffee Bourne's NPI number?
The NPI number for Coffee Bourne is 1861939191. It was assigned to this individual provider in the NPPES registry on January 25, 2017.
Where is Coffee Bourne located?
Coffee Bourne practices at 1250 E Marshall St, Richmond, VA 23298. The listed phone number is (804) 828-2207.
What is Coffee Bourne's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Coffee Bourne enrolled in Medicare?
Yes. Coffee Bourne is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Coffee Bourne's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Coffee Bourne reassigns Medicare benefits to 5 organizations: Mcv Associated Physicians (Richmond, VA), Virginia Anesthesia Services LLC (Richmond, VA), Gastrointestinal Specialists LLC (Richmond, VA), Dogwood Anesthesia Providers, LLC (Richmond, VA) and American Anesthesiology Of Virginia PC (Falls Church, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Coffee Bourne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Coffee Bourne accept?
Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Coffee Bourne as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Coffee Bourne affiliated with any hospitals?
According to CMS data, Coffee Bourne is affiliated with Cjw Medical Center.
When was this NPI record last updated?
The NPPES record for Coffee Bourne was last updated on October 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Coffee Bourne, CRNA · NPI 1861939191
Nurse Anesthetist, Certified Registered physician in Richmond, Virginia. Individual provider, active in the CMS NPPES registry since January 25, 2017.
## Identity
- **NPI:** 1861939191 (Entity type: Individual)
- **Enumerated:** January 25, 2017
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 0024174431 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1250 E MARSHALL ST, Richmond, VA 23298-5023
- **Phone:** (804) 828-2207 · **Fax:** (804) 828-8300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Mcv Associated Physicians (NPI 1710959457, Richmond, VA); Virginia Anesthesia Services LLC (NPI 1881205144, Richmond, VA); Gastrointestinal Specialists LLC (NPI 1063516672, Richmond, VA); Dogwood Anesthesia Providers, LLC (NPI 1982329900, Richmond, VA); American Anesthesiology Of Virginia PC (NPI 1417994872, Falls Church, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Virginia Commonwealth University, School Of Medicine, class of 2016
## Record status
- **NPPES last updated:** October 15, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1861939191) · Data from the CMS NPPES public registry.